Sparks, Toni

Sparks, Toni is an sole proprietor health care provider with primary practice located at 1111 S Orchard St Ste 155 , Boise ID 83705-1963. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sparks, Toni can be contacted via phone (208) 333-0103.

Contact Information

Primary practice address
1111 S Orchard St Ste 155 Boise ID 83705-1963
Phone: (208) 333-0103
Fax: (208) 333-0105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP-458A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP458A Idaho

Profile Details

NPI number 1356454839
LBN Legal business name Sparks, Toni
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Feb 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356454839 NPPES
Idaho Other 1342948 MEDICARE
Idaho Other 1356454839 MEDICARE

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